Community Education Registration Form Please print and fill out the Information below and return it along with the activity fee to: Community Education, Wabasso Public School, PO Box 69, Wabasso, MN 56293.
	Name: __________________________ Grade 2007/2008: ___________________ Address: _____________________________________________________________________ Home Phone: ____________________ Work Phone: _______________ Cell Phone:____________________ Class Registering For: __________________________________________________________ Date: ___________________________ Cost: _____________________________
	If waiver is required, please fill out and sign: I hereby consent to having my child participate in ___________________________. I understand that there are physical risks involved and authorize the instructors to act for me according to their best judgment in any emergency requiring medical attention and waive the release the instructors and District 640 from any liability. Emergency Contact Phone Number: _____________________ Parent/Guardian Signature: ____________________________            Date: ______________ [FrontPage Save Results Component]